Individual
LYDIA TABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7016 LINCOLN OAKS DR, FAIR OAKS, CA 95628-3118
(916) 218-9458
Mailing address
7016 LINCOLN OAKS DR, FAIR OAKS, CA 95628-3118
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
347000443
CA
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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